Laserfiche WebLink
� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDINO PERMIT FEE <br />(A, 'LAN CHFCN FFE <br />(2) PLUMBINO <br />�9� MECNANICAL <br />(�) STATE SURCHAROES <br />(A) BUILDING CODE <br />(0� ENEFGY CODE <br />(5) DRIVEWAV PERMIT <br />S <br />f <br />j8) WATEH SERVICE TO BE PAID PRIUR TO BLILDING PERN�T ISSUANCE S <br />(A) TO BE OETERMINED BV BLDO. INSPECTOR �/Y INGH <br />(B) E%IST. _WATER 3ERVICE. APPIICATION N0. _ <br />p) STATUS CF REWER CHAROES: <br />00"D DISTRICT FOOTAOE <br />N. 6. E, W <br />SVSTEMSDEVELOPMENT <br />WATER <br />SEWER <br />TOTALORD.FEE <br />SEWEV: CON�.:CTION CHAROES <br />VEAR_ TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PEHMIT FEE <br />,7 <br />�/r�,9a- <br />—1��. <br />/a 4 /e <br />_ -'.� <br />f <br />s -� � <br />